The outcome of a training programme (RESPECT) on staff’s attitudes towards causes and management of aggression in a Regional Referral Hospital of northern Uganda (original) (raw)
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Journal of Psychiatric and Mental Health Nursing, 2006
Aggression in healthcare systems poses a major problem for nurses because they are the most susceptible to suffer violence. Studies demonstrate that attitudes of nurses influence their behaviour regarding aggression and violence. Training programmes can positively change nurses' attitudes. This quasi-experimental study aimed to examine the effects of a systematic training course in aggression management on mental health nurses' attitudes about the reasons for patients' aggression and on its management. Sixty-three nurses (29 in the intervention and 34 in the control group) participated in this quasi-experimental pre-test and post-test study. The attitude of the participants of a training course was recorded by the German version of the Management of Aggression and Violence Attitude Scale (MAVAS). No significant attitude changes occurred in the intervention group at post-test. It is concluded that trainings intending to influence attitudes regarding the reason for patient aggression should consider the impact of the pedagogical quality of the training course, organizational support, and the user's perception. Moreover, it remains questionable to what extent a single instrument of measurement can record attitude changes.
IOSR Journal of Nursing and Health Science (IOSR-JNHS), 2021
Abstract Patient Aggression has always been recognized as one of the most critical concerns in the healthcare sector, but even after all these considerations, it shows quite an increase with time. Nurses are around the patients 24 hours, providing those healthcare services; they get impacted by this aggression the most (Wong & Chien, 2017). Hence staying under this constant stress can lead them to consider leaving nursing as a profession. And for those trying to maintain their spaces in this profession, handling such aggressive and violent patients is one big task which stands at 16% as indicated by (Wong & Chien, 2017). Aim: To assess the perception and attitude of nurses towards Aggression and violence and in mental health services (HMC). Participants: All the nurses in Mental Health Service in Hamad Medical Corporation (HMC) were invited to participate in the questionnaire. The choice of one particular setting helped reduce the bias related to the environment. Methodology: A cross-sectional research design was applied to assess nurses’ perceptions and attitudes regarding aggression and violence exhibited by patients in Mental Health Service The results are presented in five sections from Demographic factor such as years of experience, position and PMVA training, while the The Perception of Aggression Scale Short (POAS-S) Version Questionnaire and the Impact of Patient Aggression on Carers Scale (IMPACS) used for assess the nurses perception and attitude towards aggression and violence. Hence, the Relationship between demographic data of the studied nursing staff and their attitude toward violence behaviours that exhibited by mental health patients in HMC. SPSS software was used for data analysis, Shapiro Wilk test to define population distributed, , interquartile range [IQR] was presented to measure statistical dispersion and ANOVA test was used for comparing variables. Conclusion: The study found that there is a statistically significant relationship between overall dysfunctional/ undesirable phenomenon of aggression among nursing staff and attending PMVA. while there was statistically significant relationship between overall functional/ comprehensible phenomenon of aggression among nursing staff and attending refresher training, , it is clear that some of the nurses feel offended and hurt and this may affect their work performance. The study verified that there was no statistically significant relationship between overall violence perception and demographic characteristics of nursing staff except experience years in mental health service, especially between nursing staff who having experience years between 4-7 years and more than 7 years.
Exposure of Mental Health Nurses to Violence in Mental Hospital : a Systematic Review
Jurnal Keperawatan Padjadjaran, 2016
Shortage of nurses and declining interest in becoming a mental health nurse are often attributed to workplace distress and violence. These have become global issues and believed that shortage of nurses decreases the quality of health care services. It leads distress among nurses, which is exposure to violence and traumatic experiences. In addition, nurses are also accused of seizing the rights of patients and committing violence against a patient. This paper focuses on the violence that occurred in mental health nurses during working in unpredictable situation. A literature search of systematic review through the CINAHL, Medline, Google scholars and PsycInfo databases, the empirical report using a nursing sample includes data on rates of violence exposure including violence, aggressive behavior, bullying, and sexual harassment. The result, a total of 400 articles provide data on 2742 publications indicates near all of nurses in mental health experienced verbal abuse in the past month, furthermore, most of respondents' ever experienced psychological abuse, and less of respondents experienced physical violence and sexual harassment. Rates of exposure vary by world region (Developed countries, Asia, Europe and Middle East), with the highest rates for physical violence and sexual harassment in the USA, Australia, United Kingdom, New Zealand region, and the highest rates of psychological violence and bullying in the Middle East. The presence of violence signals an "alarm" that violence against nurses calls for special attention in many countries. Essentially, the world must give a "priority" to handling violence against nurses.
International journal of mental health systems, 2016
Patient violence against nurses in their work environments is a widespread global concern, particularly in the field of mental health care. A high prevalence of violent events impacts the well-being of nurses and may also impair overall ward climate. However, it has been proposed that nurses' use limited techniques to prevent patient violence, and, therefore, more comprehensive methods for dealing with patient violence are needed. There is still restricted understanding of the ward climate during the occurrence of a violent event as well as how these incidents could be more effectively prevented. This study aimed to explore nurses' experiences of violent events in psychiatric wards, give insight into ward climates and examine suggestions for violence prevention. This study employed a descriptive, exploratory design including focus groups (n = 5) and open-ended questions. The participants were registered and enrolled nurses (n = 22) working on three closed psychiatric in-pati...
Nurse education today, 2015
Patient aggression is a longstanding problem in general hospital nursing. Staff training is recommended to tackle workplace aggression originating from patients or visitors, yet evidence on training effects is scarce. To review and collate current research evidence on the effect of aggression management training for nurses and nursing students working in general hospitals, and to derive recommendations for further research. Systematic, narrative review. Embase, MEDLINE, the Cochrane library, CINAHL, PsycINFO, pubmed, psycArticles, Psychology and Behavioural Sciences Collection were searched for articles evaluating training programs for staff and students in acute hospital adult nursing in a 'before/after' design. Studies published between January 2000 and September 2011 in English, French or German were eligible of inclusion. The methodological quality of included studies was assessed with the 'Quality Assessment Tool for Quantitative Studies'. Main outcomes i.e. att...
2006
Higher penalties may apply, and higher damages may be awarded, for offences and infringements involving the conversion of material into digital or electronic form. Unless otherwise indicated, the views expressed in this thesis are those of the author and do not necessarily Unless otherwise indicated, the views expressed in this thesis are those of the author and do not necessarily represent the views of the University of Wollongong. represent the views of the University of Wollongong. Recommended Citation Recommended Citation Ilkiw-Lavalle, Olga, Enhancing mental health staff confidence and skills in response to aggression and violence: a longitudinal study of aggression minimisation training, PhD thesis,
The Impact of Training Program on Nurses' Attitudes Toward Workplace Violence in Jordan
Applied Nursing Research, 2016
Background: Nurses' attitudes toward workplace violence are still inadequately explored, and possess an impact in preventing, and managing the violent incidents and the quality of nursing care. Creating a demand for an effective intervention program to improve nurses' knowledge of and attitudes toward workplace violence. Objective: To study the impact of the training program on nurses' attitudes toward workplace violence in a military hospital in Jordan. Methods: One group before-after design was employed. A stratified random sample of 100 nurses working in three shifts was recruited. Data were collected earlier and after the preparation program using the Attitudes Toward Patient Physical Assault Questionnaire. "The Framework Guidelines for addressing workplace violence in the health sector", was adopted in this work. The preparation sessions were for one day each week over five weeks. The post-test assessment was over five weeks using the same questionnaire. Results: A total of 97 nurses completed the survey. The outcomes demonstrated the significant impact of the training program on nurses' attitudes towards workplace violence (t = 6. 62, df = 96, p = 0.000). The prevalence of verbal abuse by patients and visitors was 63.9% and for physical abuse, 7.2% were from patients and 3.1% of visitors. Most violent incidents occurred during day duty and during delivering nursing care (40.2% and 32%, respectively). Major source of emotional support for abused nurses was from the nursing team (88.7%), while the legal support was from nursing management (48.5%). Conclusion: The study highlights a general concern among nursing staff about workplace violence. Confirming that violence prevention education for staff is a necessary step forward to deescalate the problem. A significant effect of the training program was evident in this study.